| NPI | 1265607659 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX N5828) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY 51700) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX N5828) | |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2020-03-30 |